Introduction
Signal transduction pathways direct changes in cellular programs in response to environmental cues. One such pathway is inositol signaling, which involves phosphatidylinositol (PI) lipids and soluble inositol polyphosphate (IP) messengers (Berridge, 1993). Inositol signaling is a critical intermediate step in a number of receptor-mediated signaling pathways that involve G protein-coupled and cytokine receptors and receptor tyrosine kinases. In response to receptor stimulation, IP production is initiated with the hydrolysis of phosphatidylinositol 4,5-bisphosphate (PIP2) by phospholipase C (PLC), producing diacylglycerol and inositol 1,4,5-trisphosphate (IP3) (Fig. 1) (Irvine, 2003). IP3 is sequentially phosphorylated by the coordinated actions of specific kinases to produce more highly phosphorylated IP molecules, including inositol tetrakisphosphate (IP4) isomers, inositol 1,3,4,5,6-pentakisphosphate (IP5), inositol hexakisphosphate (IP6), and inositol pyrophosphate isomers (e.g., PP-IP4, IP7) (Fig. 1) (Alcazar-Roman and Wente, 2008; York, 2006). In addition to acting as the linchpin for the soluble IP production, PIP2 links the IP pathway to the lipid PI signaling pathway. Perturbation of the PI pathways is linked to multiple pathophysiological states including neurological disorders and cancers of the brain, prostate, and skin (Pendaries et al., 2003).
Fig. 1. The pathways for synthesis of soluble inositol polyphosates (IPs) in yeast and vertebrates.

IP production is initiated with the synthesis of IP3 through PLC catalyzed hydrolysis of PI(4,5)P2. IP3 undergoes sequential modifications by specific kinases and phosphatases to produce more highly phosphorylated IP molecules, including inositol tetrakisphosphate (IP4) isomers, inositol 1,3,4,5,6-pentakisphosphate (IP5), inositol hexakisphosphate (IP6), and inositol pyrophosphate isomers (e.g., PP-IP4, IP7, and IP8). The pathways intervening between IP3 and IP5 are diversified across species. In yeast, IP3 is sequentially phosphorylated to IP5 by the dual-specificity kinase Ipk2, whereas, three specific kinases and a phosphatase are involved in the production of IP5 from IP3 in vertebrates (see text for details). Black arrows indicate PLC-driven hydrolysis and IP kinase-driven phosphorylation, and grey arrows indicate dephosphorylation reactions.
The pathways for IP production and the cellular IP repertoire are fairly well conserved from yeast to mammals, with the noted diversification and expansion in metazoan enzymatic steps between IP3 and IP5. In the yeast Saccharomyces cerevisiae, the IP kinase Ipk2 successively phosphorylates I(1,4,5)P3 on the 6 and then 3 positions producing I(1,3,4,5)P4 and I(1,3,4,5,6)P5, which is followed by Ipk1 phosphorylation of the 2 position of I(1,3,4,5,6)P5 to produce IP6 (Odom et al., 2000). In humans and other mammals, however, I(1,4,5)P3 is first phosphorylated by I(1,4,5)P3 3-kinase to produce I(1,3,4,5)P4. This I(1,3,4,5)P4 isomer is then dephosphorylated by an IP 5-phosphatase to produce I(1,3,4)P3, for phosphorylation by I(1,3,4)P3 5/6-kinase to produce I(1,3,4,6)P4, the key entry point to the synthesis of all other highly phosphorylated IPs (Verbsky et al., 2005b). The Ipk2 orthologues (IPMK in rat (Saiardi et al., 2001), Ipk2 in mouse (Frederick et al., 2005), and I(1,3,4,6)P4 5-kinase (Chang et al., 2002) in human) act on this I(1,3,4,6)P4 to produce IP5. The IP6-kinase Kcs1 in yeast (and mammalian orthologs IHPK1, IHPK2, and IHPK3) convert IP6 to diphosphoinositol pentakisphosphate (5-PP-IP5 or IP7), and IP5 to PP-IP4 (Mulugu et al., 2007; Saiardi et al., 2000; Saiardi et al., 1999). These IP6k enzymes are also involved in the production of bisdiphosphoinositol tetrakisphosphate (PP2-IP4 or IP8). A second class of IP6/IP7 kinases that has one isoform in yeast, termed Vip1 and two in humans, acts as a 1/3-kinase contributing to the synthesis of 1/3-PP-IP5 and 1/3,5-(PP)2-IP4 (Choi et al., 2007; Fridy et al., 2007; Lin et al., 2009; Mulugu et al., 2007). Together, the unique activities of these inositol kinases make a versatile repertoire of IPs in a eukaryotic cell. Whereas an extensive literature exists on IP3 functions, precise cellular functions and roles in vertebrate development and disease are unknown for many of the other IPs. This article provides a summary and analysis of current advances in the IP field in the context of disease and development.
The paradigm and a new perspective
The perturbation of IP synthesis pathways is linked to defects in nutrient homeostasis in fungi (Lee et al., 2007; Mulugu et al., 2007; Odom et al., 2000), apoptosis and insulin secretion in mammalian cells (Illies et al., 2007; Morrison et al., 2001; Nagata et al., 2005), and developmental defects in vertebrates (Frederick et al., 2005; Sarmah et al., 2005; Sarmah et al., 2007; Verbsky et al., 2005a; Wilson et al., 2009). From more than a decade of research, we now know that IPs regulate multiple cellular activities including nonhomologous end joining in DNA repair, chromatin remodeling and transcription, mRNA export, telomere length regulation, exocytosis, RNA editing, translation, Ca2+ channels, and ciliary beating and length maintenance (Alcazar-Roman and Wente, 2008; Bolger et al., 2008; Illies et al., 2007; Irvine and Schell, 2001; Macbeth et al., 2005; Saiardi et al., 2005; Sarmah et al., 2007; Shears, 2004; Shen et al., 2003; Steger et al., 2003; York, 2006; York et al., 1999; York et al., 2005).
Despite the widespread requirement of the IPs, we are only beginning to understand how cells use the IP pathways to elicit selective and diverse responses. Recent reports from different laboratories have pinpointed multiple distinct cellular processes modulated by specific IP binding to target proteins. IP6 binds to the yeast mRNA export factor Gle1 to activate the DEAD-box ATPase Dbp5 during nuclear mRNA export (Alcazar-Roman et al., 2006). IP6 binds to the human RNA editing enzyme, ADAR2, and is required for ADAR protein stability and enzymatic activity (Macbeth et al., 2005). IP6 is present in the structural core of TIR1 ubiquitin ligase suggesting a role of the IP pathway in the plant hormone auxin signaling (Tan et al., 2007). Arrestin-2 oligomerization and cellular localization are reportedly regulated by IP6 binding (Milano et al., 2006). On the other hand, IP7 binds to yeast cyclin-dependent kinase (CDK) inhibitor, Pho81, to inhibit cyclin-CDK activity during nutrient homeostasis (Lee et al., 2008; Lee et al., 2007). IPs are also reported to regulate the activity of the serine/threonine kinase casein kinase 2 (Solyakov et al., 2004). These interesting findings support a paradigm wherein IPs regulate multiple cellular processes through direct IP binding and modulation of target protein activity.
Inositol polyphosphates connect to developmental/extracellular signaling
Several previous studies in yeast, Dictyostelium, and mammalian cell systems have identified potential signaling roles for IPs in controlling a number of physiological processes. The S. cerevisiae cellular response to phosphate starvation is dependent on the production of 1/3(PP)-IP5 (or, IP7) for inhibition of the cyclin/cyclin-dependent kinase (Lee et al., 2008; Lee et al., 2007; Lin et al., 2009). In Dictyostelium, the chemoattractant cAMP binding to a G protein-coupled cAMP receptor facilitates localized synthesis of PI(3,4,5)P3, where it recruits a subset of PH domain-containing proteins and triggers downstream signaling pathways leading to chemotaxis (Funamoto et al., 2002). Interestingly, IP7 isomers compete with PI(3,4,5)P3 for binding to PH domain-containing proteins mediating chemotaxis (Luo et al., 2003). On the other hand, IP7 is required for insulin exocytosis in pancreatic β cells, where IP7 is maintained at a high concentration allowing rapid adjustment of insulin secretion in response to receptor-stimulus coupling (Illies et al., 2007). This might link to the finding that the IP6 kinase 1 (IHPK1) gene locus is disrupted in a family with type 2 diabetes mellitus (Kamimura et al., 2004).
Although the functional connections between IP flux and extracellular signaling have not yet been fully defined, several recent studies highlight the existence of such a link. The activation of Gαq, a component of a trimeric G protein required for G-protein coupled receptor (GPCR) activity, leads to stimulation of the IP3 to IP8 pathway (Otto et al., 2007). It is possible that such a change in the IP levels brings signaling complexity and specificity in response to environmental signals or agonists of GPCR activity. Interestingly, Wnt3a activation of Frizzled-1 receptor causes a transient increase in IP5 levels, and depletion of IPMK (also known as Ipk2) or IP3k inhibits the ability of Wnt3a to stimulate the canonical β-catenin/lymphoid enhancer factor/T cell factor pathway (Gao and Wang, 2007). Upon binding to Frizzled receptors, which are members of the GPCR superfamily, Wnt ligands regulate several critical aspects of early development, including cell fate determination, proliferation, and embryonic patterning (Clevers, 2006). It is significant that the Wnt3a effect involves Gαq activation that triggers IP production and subsequent activation of downstream pathway.
Another interesting potential functional relationship could be between the hedgehog signaling, GPCR activity, and the IP pathway. When expressed in frog melanophores, human Smoothened (Smo) activates Gαi-mediated signaling (DeCamp et al., 2000). Moreover, the G12 family of heterotrimeric G proteins and the small GTPase RhoA are involved in hedgehog signal transduction (Kasai et al., 2004). Hedgehog signaling plays an essential role in embryonic development and patterning, and adult tissue and stem cell functions (Ingham and Placzek, 2006). The pathway is activated when extracellular hedgehog ligands (e.g. Sonic hedgehog) bind to the Patched (Ptc) receptor relieving its inhibitory effect on Smo. This allows Smo to send signals through a series of interacting proteins, including “suppressor of fused”. This results in activation of the Gli family of transcription factors, the key mediators of the cellular response to the signal. The coexpression of Smo with the G protein α subunit G15 in human cells activates PLC, suggesting a functional coupling between the three (Masdeu et al., 2006). Together, the findings provide compelling evidence for associations between the activation of G proteins, the production of IPs, and key developmental signaling pathways.
Taking the studies to the zebrafish system
These studies, primarily conducted in yeast and cell culture systems, have allowed significant insights into the role of IPs in multiple vital cellular processes and signaling pathways, and lay a foundation for future research on IP signaling in multicellular organisms. Although it is known that IP3 production is initiated in response to activation of receptor-mediated signaling pathways including GPCRs, and that IP3 undergoes sequential phosphorylation by multiple kinases, it is not clear how production of these metabolites is precisely regulated. What are the extracellular signals involved in activating IP pathways? How are IP levels regulated within cells? What are IP target proteins during embryonic body organization, organogenesis, and tissue/cell type specific differentiation and physiology? How do cells use IP pathways to elicit selective and diverse responses during development? Addressing these complex questions warrant an integrated approach combining knowledge from studies in multiple models.
Given their multiple cellular roles, several years ago, we hypothesized that IPs play critical roles in development and disease of multicellular organisms. To test this, we established a robust model system by combining zebrafish embryology and imaging with cell biological studies in mammalian cell culture systems. Zebrafish provides an excellent embryological model system with its distinct experimental advantages, such as: external fertilization, optical clarity, robustness of embryos, and rapid development. These embryological attributes facilitate high-resolution cell biological analysis in real time, allowing in vivo examination of cell movements, shape changes, proliferation, and cell–cell interactions. To begin our studies, we identified the zebrafish orthologs of several known IP kinases (Ipks) by interrogating the zebrafish GenBank database for transcripts orthologous to human IP-kinase sequences (Table 1). As in humans, the IP pathway in zebrafish has multiple Ipk enzymes intervening between IP3 and IP5 synthesis (Table 1). However, these pathways again apparently converge on a lone IP5 2-kinase, Ipk1 (Sarmah et al., 2005; Verbsky et al., 2002). The conservation of different Ipks at the overall protein sequence level is high (~52-81%) (Table 1), suggesting that the potential functional and/or regulatory diversification is minimal between zebrafish and human. Never the less, the Ipk enzymes have highly conserved putative catalytic site motifs and display functional crossspecies complementation (Ives et al., 2000; Sarmah et al., 2005; Sarmah and Wente, 2009; Verbsky et al., 2002). In order to test IP requirements during organogenesis and development, we systematically depleted the IP components (i.e., IP kinases) by injecting into 1-cell stage embryos with morpholino antisense oligonucleotides (MOs) that impair translation or splicing. By analyzing the resulting phenotypes, we uncovered multiple key developmental events that are controlled by the IP-based signaling mechanisms.
Table 1.
IP kinase (Ipk) homologs in yeast S. cerevisiae, zebrafish, and human
| IP-kinase | Yeast S. cerevisiae | Human | Zebrafish | Identity* | Similarity* |
|---|---|---|---|---|---|
| IP35/6-k | None | 1 | 1 (IP35/6-k) | 63.28% | 85.99% |
| Ipk2 | 1 | 1 | 1 (Ipk2) | 52.16% | 75.24% |
| Ipk1 | 1 | 1 | 1 (Ipk1) | 55.60% (Ipk1) | 82.48% (Ipk1) |
| IP6-k | 1 (Kcs1) | 3 | 2 (IP6k1, IP6k2) | 72.33% (IP6k1) | 89.34% (IP6k1) |
| 61.33% (IP6k2) | 81.20% (IP6k2) | ||||
| IP6/IP7-k | 1 | 2 | 2 (Vip1, Vip2) | 66.43% (Vip1) | 83.32% (Vip1) |
| 81.26% (Vip2) | 91.32% (Vip2) |
Predicted amino acid sequences of zebrafish and human IP kinases were analyzed by ClustalW program (Thompson et al., 1994) and % protein identity (identical residues) and similarity (Identical, conserved, and semiconserved residues) were determined.
The IP pathway regulates multiple aspects of zebrafish development
IP6 production is required for left-right axis specification
Our initial studies focused on Ipk1, the lone IP kinase that catalyzes synthesis of IP6 from IP5 and the most conserved step in the IP pathway. Our interest on this enzyme also stemmed partly from the fact that IP6 is one of the most abundant IPs within cells (Bunce et al., 1993; Sarmah and Wente, 2009; York et al., 1999). We observed that ipk1 is expressed in zebrafish embryos during early developmental stages (Sarmah et al., 2005). The ipk1 mRNA was maternally deposited, and was ubiquitously distributed throughout blastula stages of embryogenesis. During gastrulation, ipk1 was highly expressed in the deep involuted cells that contribute to mesendoderm. At late gastrula and early segmentation stages, axial mesendoderm expressed ipk1. Expression was also detected in cells enveloping KV, a structure orthologous to mouse node.
To determine the metabolic effects of Ipk1 depletion on IP production, we coinjected the embryos with the loss-of-function morpholino reagent and 3H-inositol to label the IP pool. We extracted the IPs at 11.5 hr post fertilization and analyzed the composition by HPLC. Interestingly, IP3 was the predominant steady-state isoform in wild-type embryos with minimal levels of other IPs. In contrast, Ipk1 depleted embryos had marked increases in IP4 and IP5 levels with no detectable IP6. Increased upstream IP levels are an established indicator of inhibited IP6 production in S. cerevisiae, Schizosaccharomyces pombe, and Drosophila melanogaster S2 cells (Ives et al., 2000; Sarmah and Wente, 2009; Seeds et al., 2004; York et al., 1999). Thus, the Ipk1 depletion results in a loss of IP6 production and a general perturbation of the IP synthesis pathway.
The first surprise in our research came when we found that depletion of IP6 levels in zebrafish embryos causes randomization of the placement of internal organs (Sarmah et al., 2005). The zebrafish embryos with reduced Ipk1 levels failed to place the liver, pancreas, and heart correctly (Fig. 2). These embryos were unable to orient left-right (LR) asymmetry properly, causing inversion of LR anatomy (situs inversus) in ~50% of the population (Fig. 2A). All vertebrates, including humans, are outwardly bilaterally symmetrical. However, they have a conserved LR asymmetry manifested in the position and anatomy of the heart, visceral organs, and brain. To achieve this final body plan, during early vertebrate embryogenesis the left and right sides are distinguished and this information is transmitted to individual organs as they develop. This LR-axis specification is a complex, multi-step process, transforming an early embryonic bilateral symmetry to a LR anatomical asymmetry (Capdevila et al., 2000; Wright, 2001).
Fig. 2. The production of IP6 is required for left-right (LR) axis specification and normal placement of body organs.

(A) Normal asymmetry of the heart tube placement is randomized in Ipk1 depleted zebrafish embryos. Live fluorescent and DIC overlay images at 28 hours post fertilization (hpf) of uninjected embryos (left) and embryos injected with the ipk1 morpholino (ipk1MO) (right) that were expressing Tg(cmlc2-EGFP) (Huang et al., 2003) for EGFP throughout the myocardium. Nearly 50% of the ipk1MO injected embryos display reversed (right-sided) heart tube placement in contrast to its consistent left-sided placement in the uninjected embryos. (B) Model displaying connections between Ipk1/IP6 production, cilia, and left-biased Ca2+ signaling during LR-axis specification. LR-axis specification emerges from three positional cues: anterior (a) - posterior (p) axis, dorsal-ventral axis, and chirality of the nodal (KV) ciliary beating. Once the LR-axis is specified, the LR information is relayed through the action of a set of long-range signaling molecules (e.g., nodal, lefty1, and lefty2) and induction of the homeobox transcription factor gene pitx2 culminating in situs-specific morphogenesis. The left-biased Ca2+ signaling induced by ciliary beating acts as the connector between cilia and LR signaling molecules. Lefty1 functions as a midline barrier restricting LR signals to the left. Shown here are KV cilia (in red) detected by anti-acetylated tubulin immunohistochemistry superimposed on a live fluorescent image displaying left-biased Ca2+ flux (in green as revealed by flash-pericam Ca2+ indicator protein). Our studies reveal that Ipk1 activity is essential for KV ciliary beating. Thus, loss of Ipk1 might directly impact the LR cascade downstream of cilia. On the other hand, ipk1 is expressed in cells enveloping KV and it might mediate expansion of asymmetric Ca2+ flux, initiated by motile KV cilia, across cell fields. This could drive asymmetric expression of signaling molecules. Bright-field low magnification image (ventral view) of a 12 hpf embryo showing the KV is presented on the bottom-right.
To date, all vertebrates exhibit asymmetric expression of homologous genes prior to the situs specific morphogenesis. For example, left lateral plate mesoderm expresses genes encoding intercellular signaling molecules such as nodal, lefty1, and lefty2, and the homeobox transcription factor gene pitx2, collectively known as LR-specific genes (Hamada et al., 2002). We found that the expression of LR-specific genes was randomized in Ipk1 depleted embryos. There was also a defect in generating an evolutionarily conserved, transient left-biased Ca2+ flux in cells enveloping the Kupffer’s vesicle (KV), a transient structure with a ciliated epithelium orthologous to the mouse ‘node’ (Sarmah et al., 2005). This asymmetric Ca2+ transient is reportedly the first observed molecular LR asymmetry in mice (McGrath et al., 2003). In Ipk1 depleted embryos, we did not observe such Ca2+ transients. Previous studies have implicated IP6 as a regulator of Ca2+ channel activity (Larsson et al., 1997; Lemtiri-Chlieh et al., 2003; Yang et al., 2001). IPs are also excellent candidates for low-molecular-weight determinants that could move through gap junctions to influence rapid amplification and propagation of Ca2+ signals across cell fields in the embryo.
Ipk1 activity is required for ciliary beating and length maintenance
Motile cilia in the mouse node play a critical role in the initial events of the LR body axis specification and in generating counterclockwise fluid flow in the node (Hirokawa et al., 2006; Nonaka et al., 1998; Okada et al., 1999). Similarly, in zebrafish, proper KV morphogenesis, ciliary motility, and directional fluid flow are essential for LR-axis specification (Essner et al., 2005; Kramer-Zucker et al., 2005). In mice, the fluid flow generated by motile cilia has been proposed to bend mechanosensor immotile cilia in the node, triggering a left-sided Ca2+ flux (McGrath et al., 2003). Alternatively, cilia-driven fluid flow might result in a morphogen concentrating toward the nodal left side to influence intracellular signaling (Hirokawa et al., 2006). Nevertheless, both proposed mechanisms are based on a crucial role for nodal ciliary function in LR-axis specification. Because Ca2+ flux in cells surrounding the KV was altered and LR asymmetry randomized in Ipk1 depleted embryos (Sarmah et al., 2005), it was critical to investigate ciliary structures and functions in fine detail. Doing so, we observed that the beating of cilia in the KV was substantially altered in Ipk1 depleted embryos. In wild-type embryos, cilia beat with a vortical motion in a counterclockwise orientation. In contrast, in Ipk1 depleted embryos, cilia were immotile (Sarmah et al., 2007). Significantly, the ciliary beating defect in Ipk1 depleted embyros was rescued by coinjection of wild-type ipk1 mRNA. Moreover, co-injection of mRNA encoding kinase-dead Ipk1 failed to complement this motility defect. This indicates that Ipk1 kinase activity is critical for ciliary beating. We also observed a dose-dependent decrease in the length of cilia in multiple organs, including KV, in Ipk1 depleted embryos. These observations strongly suggest that Ipk1 plays a key role in ciliary motility and length maintenance.
ipk1 is genetically linked to ciliary ift components
Cilia are membranous extensions with microtubule cores extending from basal bodies by intraflagellar transport (IFT) along axonemal microtubules (Praetorius and Spring, 2005; Scholey, 2003). Motile cilia have a characteristic “9+2” axoneme with nine microtubule doublets, two central microtubule singlets, radial spokes linked to the microtubules, and inner and outer dynein arm motors (Praetorius and Spring, 2005). Ciliary beating results from the sliding of outer microtubule doublets relative to one another, powered by the motor activity of axonemal dynein (Ibanez-Tallon et al., 2003). IFT is required for ciliary assembly, motility, and length maintenance (Rosenbaum and Witman, 2002; Scholey, 2003). Blocking IFT results in cilia shortening (Marshall and Rosenbaum, 2001; Rosenbaum and Witman, 2002).
First, we investigated ciliary axonemal structures in multiple organs and found that they were not grossly altered in Ipk1 depleted embryos. Mutations in genes encoding ciliary microtubule-based motor proteins, such as Kif3a (Marszalek et al., 1999; Takeda et al., 1999), Kif3b (Nonaka et al., 1998), Lrd (Supp et al., 1999), and the raft protein complex component Polaris /IFT88 (Murcia et al., 2000) result in LR asymmetry defects. In zebrafish, depletion of either the IFT88 or IFT57 proteins perturb normal LR asymmetry and ciliary length in KV and other organs without altering normal ciliary 9 + 2 organization (Bisgrove et al., 2005; Kramer-Zucker et al., 2005). These phenotypes associated with IFT defects correlated with our observations on the Ipk1 depleted embryos. Thus, we investigated if ipk1 is genetically linked to ift component(s). Strikingly, co-depletion of Ipk1 and intraflagellar transport (IFT) proteins (IFT88 or IFT57) had synergistic perturbations of LR asymmetry suggesting that these act on the same or parallel pathways underling ciliary functions. We also found that exogenously expressed GFP-Ipk1 is enriched in centrosomes and basal bodies in mammalian cells. We propose that Ipk1 is an important component of the basal body, and that localized IP6 production is essential for ciliary function and maintenance (Fig. 5). These findings connecting IP production to the motile cilia will impact future studies on cell signaling and ciliary function.
Fig. 5. IPs might act as effectors of a versatile cilia-based signaling network.

Presented here is a model showing that IPs, after synthesized in response to an activated GPCR, transduce extracellular signals to cilia and/or cell anterior. In primary cilia, PP-IP4 plays an as “yet undefined” role during hedgehog signaling response, controlling critical developmental and morphogenetic events (e.g., craniofacial and somite developments). On the other hand, IP6 acts as an effector of ciliary motility and/or IFT. The IP6 role(s) in motile cilia are essentially required for key developmental processes (e.g., LR-axis specification) as well as maintenance and functions of organs (e.g., kidney).
Ipk1 has a global ciliary role
We speculated that a cilia-specific function for Ipk1 would affect the development and proper function of other ciliated organs besides the KV. Dysfunctional cilia have been implicated in polycystic kidney disease (Drummond, 2005; Rosenbaum and Witman, 2002), and disruption of zebrafish ciliary structure or motility results in lumenal expansion of kidney tubules and pronephric cyst formation (Kramer-Zucker et al., 2005). To investigate if there was a defect in kidney (pronephros) structure, we performed histological studies on sections of wild-type and Ipk1 depleted embryos (Fig. 3). The pronephros, which consists of a glomerulus, pronephric tubules, and paired pronephric ducts, is the primary blood filtration and osmoregulatory organ in free-swimming zebrafish larvae (Drummond, 2005). Interestingly, we observed that the pronephric tubules and ducts in Ipk1 depleted embryos were dilated compared to uninjected embryos (B.S. an S.R.W., unpublished). The tubular perimeter in the Ipk1 depleted embryos was 2-fold dilated compared to uninjected embryos. An expanded pronephric tubule lumen serves as an early marker for cyst formation in zebrafish (Drummond, 2005). We also found that the majority (61.6%, n=120) of the Ipk1 depleted embryos had a distinctive ventrally curved body axis (Fig. 3), and a significant fraction developed pronephric cyst (20% of the embyros) (B.S. an S.R.W., unpublished). These are also common features of embryos deficient in IFT88/polaris and IFT57/hippi (Kramer-Zucker et al., 2005), and many zebrafish cystic kidney mutants (Drummond, 2005).
Fig. 3. Ipk1 depleted zebrafish embryos display curved body axis and dilation of pronephric tubules.

Disruption of ipk1 function by ipk1MO injection results in ventrally curved body axis at 72 hpf (B) compared to uninjected embryos (A). ipk1MO embryos also develop pronephric cyst, hydrocephalus, and pericardial edema at 5 dpf (not shown). Histological cross sections of an uninjected embryo (C) and an ipk1MO embryo at 72 hpf (D) show the midline fused glomerulus, pronephric tubules (red arrowhead), and paired pronephric ducts (yellow arrowhead) on either side. ipk1MO embryos show dilation of pronephric tubules (red arrowhead) and pronephric ducts (yellow arrowhead).
On the other hand, cilia in the spinal canal function to maintain normal cerebrospinal fluid distribution. Impaired ciliary function could cause fluid build-up and distension of the brain ventricles or hydrocephalus (Kramer-Zucker et al., 2005). This was indeed observed in the Ipk1 depleted embryos, with hydrocephalus and pericardial edema found in 35% of the embryos (Fig. 3) (B.S. an S.R.W., unpublished). Taken together, these findings support the hypothesis that Ipk1 has a conserved ciliary role in multiple organs and its deficiency results in diverse pathologies associated with defective cilia.
Interestingly, the loss of Ipk1 in mice is lethal, and the embryos die before day 8.5 postcoitum (Verbsky et al., 2005a). Mouse embryos express ipk1 in the notochord, the ventricular layer of the neural tube, the myotome of the somites, and in the yolk sac. In adult mice, ipk1 expression is detected in the hippocampus, cortex, Purkinje layer of the cerebellum in the brain, cardiomyocytes, and testes. The failure to develop yolk sac is suggested to cause the early lethality of ipk1 null mice. Interestingly, IP5 and PP-InsP4 also accumulated in the heterozygous mouse embryonic fibroblasts compared to wild-type cells. This correlates with our own findings that IP levels change as a consequence of Ipk1 knockdown in zebrafish embryos.
IP pathway is linked to craniofacial development
We have also started testing other components of the IP pathway that act upstream or downstream of Ipk1. IP6k kinases (ortholog of yeast Kcs1) catalyze synthesis of a number of IPs both upstream and downstream of Ipk1 (Mulugu et al., 2007; Saiardi et al., 2000; Saiardi et al., 1999) (Fig. 1). When IP6K2 was depleted in embryos, the ciliary motility in the KV cilia was not affected and the LR morphogenesis was normal. This indicates a distinct role for IP6 in motile cilia. Strikingly, we found that zebrafish embryos depleted of IP6k2 develop deformed craniofacial structures with severe reduction of cartilage elements (Fig. 4). These craniofacial defects were not observed in Ipk1 depleted embryos. The majority of head skeleton is derived from cranial neural crest cells (NCCs). The neural crest is a migratory cell population that detaches from the embryonic neural epithelium along the dorsal neural tube and populates various regions of the body differentiating into a broad range of cell types including neurons and glia of the peripheral nervous system, cartilage and bones of the face, and melanocytes (Knecht and Bronner-Fraser, 2002). Cranial NCCs arise from fore- and hindbrain regions and give rise to the frontonasal skeleton and pharyngeal arches (Santagati and Rijli, 2003).
Fig. 4. The IP kinase IP6k2 is required the normal development of craniofacial skeleton.

(A,B) Live images of uninjected (A) and ip6k2MO injected zebrafish embryos at 5 days post fertilization (dpf). (C,D) Images of alcian blue stained head skeletons of uninjected (C) and ip6k2MO injected (D) embryos at 5 dpf. The flat-mount (ventral) images display normal pharyngeal skeleton and parts of the neuroocranium of the uninjected embryos (C). In the IP6k2 depleted embryos, most of the cartilage elements of the pharyngeal skeleton are not formed and have a shortened neuroocranium (D). e, eye; m, Meckel’s cartilage; pq, palatoquadrate; ch, ceratohyal; cb 3–7, ceratobranchials arches 3 to 7; eth, ethmoid plate; nc, notochord.
We investigated three key stages in early NCC development: initial induction/specification, maintenance, and migration. In the IP6k2 depleted embryos, NCCs were properly specified but defective in maintenance and migration. In the depleted embryos, NCCs from mid- and hindbrain regions migrated aberrantly toward the optic vesicle and ventral-side, respectively. Additionally, streams of NCCs that normally migrate ventrally from the neural tube into the trunk were also abnormal and reduced. Notably, in addition to craniofacial defects, IP6k2 depleted embryos were defective in somite and slow muscle development. In contrast to chevron-shaped somites in wild-type embryos, IP6k2 depleted embryos developed U-shaped somites, reminiscent of reduced hedgehog signaling. Hedgehog signaling also provides positional cues for cranial NCC migration (Tapadia et al., 2005; Wada et al., 2005).
As the craniofacial defect is uniquely present in IP6k2 depleted embryos and absent in Ipk1 depleted embryos, we speculated that IP6k2 production of PP-IP4 from IP5 is critical for craniofacial development. Moreover, as the phenotypes displayed by IP6k2 depleted embryos are hallmarks of disrupted hedgehog signaling in zebrafish (Barresi et al., 2000; Blagden et al., 1997; Eberhart et al., 2006; Stickney et al., 2000; Wada et al., 2005), we hypothesized that efficient hedgehog signal transduction requires IP6k2 function. To investigate if the IP6k2 depleted embryos lacked a hedgehog signaling response during their development, we examined the expression of two key hedgehog target genes, gli1 and patched1, both of which are also genes encoding essential components of the Hedgehog signal transduction pathway. Strikingly, we observed that the expression of both the genes was significantly down-regulated in IP6k2 depleted embryos. A role for this IP kinase in development and tissue patterning was not previously known and its link to the hedgehog pathway might impact future studies of both hedgehog and inositol signaling.
Developmental roles for other IP kinases
The cellular level of IP6 is tightly connected with the upstream and downstream components of the IP metabolic pathway. We hypothesized that these IPs have distinct or overlapping roles with IP6 that are critical for embryonic development and organogenesis including LR morphogenesis. We have recently identified genes encoding zebrafish homologues of I(1,3,4)P3 5/6-kinase, Ipk2, and Vip-1 & 2 kinases that synthesize IP4, IP5, IP7 and IP8 isomers, respectively (Fig. 1, Table 1). We have started testing roles of these kinases in ciliary function, LR asymmetry, and other aspects of zebrafish development. We anticipated that the knockdown of genes that encode enzymes upstream of Ipk1 (such as IP3 5/6-kinase and Ipk2) might phenocopy the ipk1 knockdown phenotype. However, there could be additional affects with graded severity reflecting their positions in the pathway. Additionally, knockdown of downstream components might not produce phenotypes similar to that of ipk1 knockdown if it is related to a IP6 specific function.
By injecting embryos with a splicing block morpholino oligonucleotide to deplete ipk2 mRNA levels, we reproduced the ipk1 knockdown phenotypes in left-right asymmetry. On the other hand, we found that IP3 5/6-kinase was essential for embryonic development as the embryos injected with ip3-5/6-k translation blocking morpholino oligonucleotides died prior to completing segmentation period. In mice, ipk2 is reported to be essential (Frederick et al., 2005). The ipk2 null embryos die around embryonic day 9.5 with multiple morphological defects, including small body size, no visible somites, and abnormal folding of the neural tube. Recently, a study showed that mice embryos homozygous for a hypomorphic itpk1 allele encoding I(1,3,4)P3-5/6-kinase are viable but display neural tube and axial skeletal defects, and growth retardation (Wilson et al., 2009). The homozygous mutant embryos have lower levels of the protein than their wild-type and heterozygous littermates, potentially resulting in a less severe phenotype. Together, these discoveries pinpoint multiple essential roles for the IP-kinases during embryonic development and patterning.
IPs potentially constitute a cilia-based cellular signaling mechanism
Cilia act as cellular antennas to sense developmental (extracellular) signaling molecules (Eggenschwiler and Anderson, 2007; Singla and Reiter, 2006). These primary cilia, which could also be mechano- and/or chemosensory in nature, coordinate numerous signaling pathways including hedgehog and Wnt signaling that regulate embryonic development and patterning, and tissue repair and maintenance in adults (Gerdes et al., 2009). On the other hand, motile cilia that occur on cells of respiratory epithelium, female reproductive tract, brain ependyma, and nodal (KV) epithelium generate flows of mucus or fluid critical for normal health and development. Consequently, defects in ciliary structure and functions lead to severe developmental diseases and disorders, commonly referred to as ciliopathies. This includes polycystic kidney disease, situs inversus, Kartagener syndrome, and Bardet-Biedl syndrome (Marshall, 2008).
Several recent studies have implicated the PI pathway in cilia biogenesis and functions. The depletion of PI(4,5)P2 in developing Drosophila male germ cells inhibits sperm flagellar biogenesis due to inherent defects in microtubule organization and basal body docking to the nuclear envelope (Wei et al., 2008). Other PIs (e.g., PI(3)P) have also been suggested to have role in ciliary biogenesis. The BBS5, a component of the BBSome required for ciliogenesis, binds specifically with PI(3)P (Nachury et al., 2007). PIs are known to be important for vesicular transport, remodeling of actin cytoskeleton, and signal transduction (Di Paolo and De Camilli, 2006). Mutations in the gene encoding inositol polyphosphate-5-phosphatase E (INPP5E) were identified in individuals with Joubert syndrome, a ciliopathy characterized by multiple defects including retinal dystrophy, fibrosis and polydactyly. INPP5E hydrolyzes the 5-phosphate of PI(3,4,5)P3 and PI(4,5)P2 and the mutations abolish enzyme activity resulting in altered PI levels. Interestingly, INPP5E localizes to cilia and the mutations perturb ciliary maintenance (Bielas et al., 2009). It is noteworthy that PIs (e.g., PI(4,5)P2) immediately upstream of the soluble IP pathway are required for ciliary biogenesis and/or function.
In zebrafish, we showed that the production of IP6 is critical for the generation of asymmetric Ca2+ flux in the KV and establishing LR asymmetry (Sarmah et al., 2005). Specifically, IP6 production is required for ciliary beating and length maintenance in zebrafish KV. Motile cilia are critical for establishing the LR body axis as well as generating asymmetric Ca2+ flux in mouse node (Hirokawa et al., 2006; McGrath et al., 2003; Nonaka et al., 1998; Okada et al., 1999). Thus, IP6 production required for normal ciliary movement might be essential for the induction of the Ca2+ flux. However, it remains possible that IP6 production also independently contributes to Ca2+ signaling by amplifying and propagating the signal across cell fields independent of its cilia-specific role. Nevertheless, IPs, intracellular Ca2+ flux, and cilia together form a key signaling mechanism that mediates LR-axis specification. We speculate that IP6 contributes to IFT by acting as a cofactor for an IFT, cilia, or basal body protein and allowing for their optimal activity. IFT is essential for ciliary assembly, motility, and maintenance (Rosenbaum and Witman, 2002; Scholey, 2003). As such, in the absence of IP6 production, we speculate that IFT is compromised resulting in immotile and shortened cilia.
In addition to documenting specific roles for IP6 production in zebrafish development and ciliary functions, we also uncovered a new role for IP6k2 in craniofacial development and neural crest cell migration, and in hedgehog signal transduction. Interestingly, primary cilia are essential for transduction of the Hedgehog signal in mammals (Oro, 2007). Many of the essential hedgehog signaling components, such as Gli2, Gli3, Smo and Ptc, localize to primary cilia. It is speculated that regulated movement of key proteins into and out of the cilium generates a switch by which cells can turn this powerful signaling on and off during development and tissue homeostasis (Christensen and Ott, 2007; Rohatgi et al., 2007). A protein similar to IP6-kinase is found in the Chlamydomonas flagellar proteome (Pazour et al., 2005). We propose that in IP6k2 depleted NCCs, hedgehog signal transduction is perturbed due to a potential defect in their sensory cilia.
Based on our findings and multiple connections documented by other studies discussed above, we propose a model wherein IPs constitute a novel cilia-based signaling mechanism (Fig. 5). Within the cilia, we speculate that the pathway is activated downstream of a GPCR (based on the distinct connection of GPCR with the induction of the IP pathway (Otto et al., 2007)). A number of GPCRs have been identified in the cilia of many cell types including neurons (Reviewed in (Berbari et al., 2009)). Recent studies have linked IPs with components of the Wnt and hedgehog signaling pathways (Gao and Wang, 2007; Masdeu et al., 2006). Primary cilia have key regulatory roles in both of these signaling pathways (reviewed in (Berbari et al., 2009)). And lastly, lipid PIs, upstream to the IP metabolic pathway have distinct roles in cilia biogenesis and/or function (Bielas et al., 2009; Nachury et al., 2007; Wei et al., 2008). As presented in Fig. 5, the IP metabolic pathway, potentially activated in response to extracellular stimuli, would mediate both ciliary functions and cilia-based signaling mechanism(s). We predict that such an IP-based regulation involves modulation of target protein activity through IP binding.
Multiple outstanding questions still remain: 1) What are the mechanism(s) through which Ipk1 activity regulates ciliary function? Here we propose that Ipk1 and/or IP6 contribute to IFT by acting as a cofactor for an IFT, cilia, or basal body protein and allowing for its optimal activity. 2) How does IP6k2 activity modulate NCC development and migration, and hedgehog signal transduction? We predict that IP6k2 is required for adequate functioning of the hedgehog pathway components (e.g., Smo, Gli factors) or the ciliary switch for regulating hedgehog signal transduction. A common theme emerging from these findings is that an IP-based ciliary signaling mechanism might underlie the establishment of LR asymmetry and craniofacial development. Motile cilia (e.g., those in KV) require IP6 for their motility, whereas, primary, non-motile cilia (e.g., those present in hedgehog responsive cells) might require PP-IP4 to function as a sensory organelle.
Summary
We described here our recent findings that Ipk1 catalyzed production of IP6 regulates LR-axis specification (Sarmah et al., 2005) and that IP6 is an essential effector of ciliary beating and length maintenance in zebrafish (Sarmah et al., 2007). We have also uncovered a novel role for the IP kinase IP6k2 in craniofacial development, neural crest cell migration, and hedgehog signal transduction (B.S. an S.R.W., unpublished). Together, these findings place IP production as a key mediator for cellular signaling mechanisms that regulate vital cellular and developmental processes. How these and other IPs are integrated with cell-cell signaling networks during complex processes, such as, tissue morphogenesis and maintenance of cell fate and function? We propose that with its enormous resource and unique set of structural, functional, and sensory attributes, cilium provide a platform for executing IP-based signaling functions. Given the evolutionary conservation of the IP repertoire and pathways, the developmental and molecular events uncovered in our studies in the zebrafish system could be applicable in other vertebrates including humans. This unbiased approach of systematic identification of IP functions in cilia and development will aid in understanding of multiple disease pathologies including ciliopathies and dysmorphic syndromes.
Acknowledgments
We thank Bruce Appel, Chris Wright, Lila Solnica-Krezel, Josh Gamse, Ela Knapik, Swapnalee Sarmah, and other members of the Vanderbilt Cell and Developmental Biology community who aided in much of the work presented here and provided critical discussion for these projects. This work was supported by a grant from the American Heart Association, a Vanderbilt Zebrafish Pilot Project Grant, and the Vanderbilt Cell Imaging Shared Resource.
Footnotes
- Inositol polyphosphates
- Phospholipase
- Left-right asymmetry
- Cilia
- Zebrafish
- Signaling
- Hedgehog signaling
- Development
- Embryogenesis
- Kinase
- Enzyme
- Neural crest
- Craniofacial
- Inositol hexakisphosphate
- Intraflagellar transport
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